[治疗方法治疗偶发性偏头痛和张力类型头痛的并发性病理]
L M Mirzaeva1, A S Lobzina1, K N Akhmedova1
1Mechnikov North-Western State Medical University, Saint Petersburg, Russia.
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
|October 5, 2023
概括
治疗并发性焦虑症,抑郁症,失眠症和喘息症显著改善了患有偶发性偏头痛和紧张型头痛的患者的结果. 解决这些疾病导致头痛严重程度降低,患者整体健康状况改善.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 临床医学 临床医学
背景情况:
- 插曲性偏头痛和紧张型头痛 (TTH) 是主要的头痛疾病,通常伴有并发性疾病.
- 焦虑,抑郁,失眠和喘息经常在患有初级头痛的患者中观察到,可能会加剧症状并复杂化治疗.
- 了解头痛严重程度与这些并发症之间的相互作用对于有效管理至关重要.
研究的目的:
- 评估治疗焦虑,抑郁,失眠和喘息症对偶发性偏头痛和TTH患者的影响.
- 在治疗干预之前和之后评估头痛严重程度,焦虑,抑郁,失眠和喘息的变化.
主要方法:
- 一项涉及104名患者 (18-74岁) 的研究,他们被诊断患有偶发性偏头痛 (n=41) 或偶发性TTH (n=63).
- 头痛强度使用视觉模拟量表 (VAS) 进行测量.
- 使用医院焦虑和抑郁量表 (HADS),莱文问卷 (失眠) 和多维疲劳目录 (MFI-20) 评估并发症.
主要成果:
- 与TTH患者 (3.8±1.2 VAS) 相比,患有插曲性偏头痛的患者报告了更高的基线头痛严重程度 (5.8±1.3 VAS).
- 临床焦虑影响了66.3%和临床抑郁45.2%的患者,TTH组的抑郁率更高.
- 治疗导致头痛强度显著降低 (偏头痛: 3.2±0.9 VAS;TTH: 1.9±0.8 VAS),焦虑,抑郁和喘息,睡眠质量显著改善. 赛托弗拉在减轻喘息方面表现出特别的有效性.
结论:
- 针对并发性焦虑,抑郁,失眠和喘息的综合治疗,在治疗偶发性偏头痛和TTH方面产生了显著的积极结果.
- 这些并发症的早期识别和管理对于改善初级头痛疾病治疗结果至关重要.
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